|
Warde t3 (triiodothyronine) reverse
|
$87.75 |
$87.75 |
$87.75 |
$84.51
|
|
Warde thyroid stimulating immunoglobulins
|
$167.70 |
$167.70 |
$167.70 |
$217.62
|
|
Warde topiramate therapeutic drug level
|
$100.75 |
$100.75 |
$100.75 |
$76.05
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$174.20 |
$174.20 |
$174.20 |
$157.95
|
|
Warde viscosity
|
$69.55 |
$69.55 |
$69.55 |
$61.92
|
|
Warde vitamin a
|
$79.95 |
$79.95 |
$79.95 |
$67.20
|
|
Warde vitamin b-1 (thiamine)
|
$117.65 |
$117.65 |
$117.65 |
$99.27
|
|
Warde vitamin b6 (pyridoxine)
|
$114.40 |
$114.40 |
$114.40 |
$127.40
|
|
Warde vitamin c (ascorbic acid)
|
$60.45 |
$60.45 |
$60.45 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$211.90 |
$211.90 |
$211.90 |
$185.25
|
|
Warde vitamin e (alpha-tocopherol)
|
$91.65 |
$91.65 |
$91.65 |
$64.28
|
|
Warde zinc
|
$68.90 |
$68.90 |
$68.90 |
$67.20
|
|
Wbc automated
|
$36.40 |
$36.40 |
$36.40 |
$32.50
|
|
Western blot test
|
$135.20 |
$135.20 |
$135.20 |
$170.40
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$549.25 |
$549.25 |
$549.25 |
$432.00
|
|
Wound closure by adhesive
|
$304.85 |
$304.85 |
$304.85 |
$156.65
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$258.70 |
$258.70 |
$258.70 |
$501.80
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$348.40 |
$348.40 |
$348.40 |
$558.97
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$309.40 |
$309.40 |
$309.40 |
$275.88
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$436.15 |
$436.15 |
$436.15 |
$370.00
|
|
Wrist X-ray
|
$523.90 |
$523.90 |
$523.90 |
$311.20
|
|
X-ray abdomen 1 view
|
$243.75 |
$243.75 |
$243.75 |
$243.00
|
|
X-ray abdomen 2 views
|
$306.15 |
$306.15 |
$306.15 |
$281.50
|
|
X-ray abdomen >=3 views
|
$371.80 |
$371.80 |
$371.80 |
$309.38
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$406.90 |
$406.90 |
$406.90 |
$359.84
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$245.05 |
$245.05 |
$245.05 |
$246.42
|
|
X-ray ankle 2 views (both sides)
|
$425.75 |
$425.75 |
$425.75 |
$240.00
|
|
X-ray bone age studies
|
$268.45 |
$268.45 |
$268.45 |
$227.08
|
|
X-ray bone survey complete
|
$833.30 |
$833.30 |
$833.30 |
$569.03
|
|
X-ray bone survey infant
|
$349.70 |
$349.70 |
$349.70 |
$362.40
|
|
X-ray cervical spine 2-3 views
|
$365.95 |
$365.95 |
$365.95 |
$308.40
|
|
X-ray cervical spine 4-5 views
|
$434.85 |
$434.85 |
$434.85 |
$439.14
|
|
X-ray cervical spine >= 6 views
|
$469.95 |
$469.95 |
$469.95 |
$479.05
|
|
X-ray clavicle complete (both sides)
|
$321.75 |
$321.75 |
$321.75 |
$277.00
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$868.40 |
$868.40 |
$868.40 |
$785.86
|
|
X-ray elbow 2 views (both sides)
|
$414.70 |
$414.70 |
$414.70 |
$281.40
|
|
X-ray elbow >= 3 views (both sides)
|
$409.50 |
$409.50 |
$409.50 |
$325.88
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$525.85 |
$525.85 |
$525.85 |
$434.76
|
|
X-ray exam entire spi 6/> vw
|
$662.35 |
$662.35 |
$662.35 |
$562.90
|
|
X-ray exam of arm infant
|
$161.85 |
$161.85 |
$161.85 |
$238.26
|
|
X-ray exam of eye sockets
|
$318.50 |
$318.50 |
$318.50 |
$321.48
|
|
X-ray exam of femur 1
|
$229.45 |
$229.45 |
$229.45 |
$194.40
|
|
X-ray exam of jaw joint
|
$206.05 |
$206.05 |
$206.05 |
$179.54
|
|
X-ray exam of sinuses
|
$214.50 |
$214.50 |
$214.50 |
$192.00
|
|
X-ray exam thorac spine4/>vw
|
$400.40 |
$400.40 |
$400.40 |
$365.00
|
|
X-ray eye detection foreign body (both sides)
|
$242.45 |
$242.45 |
$242.45 |
$227.80
|
|
X-ray facial bones complete > 3 views
|
$300.30 |
$300.30 |
$300.30 |
$337.95
|
|
X-ray femur >=2 views (both sides)
|
$414.05 |
$414.05 |
$414.05 |
$290.44
|
|
X-ray finger(s) >= 2 views (both sides)
|
$358.80 |
$358.80 |
$358.80 |
$233.55
|
|
X-ray foot 2 views (both sides)
|
$445.90 |
$445.90 |
$445.90 |
$270.40
|
|
X-ray forearm 2 views (both sides)
|
$436.15 |
$436.15 |
$436.15 |
$317.62
|
|
X-ray hand 2 views (both sides)
|
$386.75 |
$386.75 |
$386.75 |
$270.00
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$297.05 |
$297.05 |
$297.05 |
$243.10
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$387.40 |
$387.40 |
$387.40 |
$300.00
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$421.20 |
$421.20 |
$421.20 |
$313.45
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$523.25 |
$523.25 |
$523.25 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$577.85 |
$577.85 |
$577.85 |
$477.10
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$175.50 |
$175.50 |
$175.50 |
$187.20
|
|
X-ray humerus >= 2 views left
|
$381.55 |
$381.55 |
$381.55 |
$285.00
|
|
X-ray knee 1-2 views (both sides)
|
$414.05 |
$414.05 |
$414.05 |
$271.70
|
|
X-ray knee 3 views (both sides)
|
$475.80 |
$475.80 |
$475.80 |
$319.24
|
|
X-ray knee ap standing bilateral
|
$222.30 |
$222.30 |
$222.30 |
$243.09
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$188.50 |
$188.50 |
$188.50 |
$227.92
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$345.15 |
$345.15 |
$345.15 |
$345.15
|
|
X-ray lumbosacral spine >= 4 views
|
$516.10 |
$516.10 |
$516.10 |
$475.04
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$619.45 |
$619.45 |
$619.45 |
$513.63
|
|
X-ray mandible complete > 4 views
|
$357.50 |
$357.50 |
$357.50 |
$323.70
|
|
X-ray mandible ltd <4 views
|
$274.30 |
$274.30 |
$274.30 |
$200.20
|
|
X-ray nasal bones complete > 3 views
|
$271.70 |
$271.70 |
$271.70 |
$260.52
|
|
X-ray neck soft tissue
|
$221.00 |
$221.00 |
$221.00 |
$221.10
|
|
X-ray nose to rectum for foreign body child
|
$222.30 |
$222.30 |
$222.30 |
$201.00
|
|
X-ray pelvis 1-2 views
|
$260.65 |
$260.65 |
$260.65 |
$242.58
|
|
X-ray pelvis complete > 3 views
|
$295.10 |
$295.10 |
$295.10 |
$299.46
|
|
X-ray ribs 2 views left
|
$208.00 |
$208.00 |
$208.00 |
$281.45
|
|
X-ray ribs 3 views bilateral
|
$391.30 |
$391.30 |
$391.30 |
$361.20
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$243.75 |
$243.75 |
$243.75 |
$327.21
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$442.65 |
$442.65 |
$442.65 |
$466.80
|
|
X-ray sacroiliac joints >= 3 views
|
$266.50 |
$266.50 |
$266.50 |
$270.40
|
|
X-ray sacrum/coccyx >= 2 views
|
$268.45 |
$268.45 |
$268.45 |
$260.65
|
|
X-ray scapula complete (both sides)
|
$243.75 |
$243.75 |
$243.75 |
$264.80
|
|
X-ray sella turcica
|
$117.65 |
$117.65 |
$117.65 |
$144.00
|
|
X-ray shoulder 1 view (both sides)
|
$292.50 |
$292.50 |
$292.50 |
$242.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$337.35 |
$337.35 |
$337.35 |
$324.53
|
|
X-ray skull < 4 views
|
$294.45 |
$294.45 |
$294.45 |
$277.54
|
|
X-ray skull > 4 views complete
|
$382.20 |
$382.20 |
$382.20 |
$404.30
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$491.40 |
$491.40 |
$491.40 |
$511.38
|
|
X-ray spine single view
|
$301.60 |
$301.60 |
$301.60 |
$225.00
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$226.20 |
$226.20 |
$226.20 |
$236.88
|
|
X-ray sternum > 2 views
|
$243.75 |
$243.75 |
$243.75 |
$230.00
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$540.80 |
$540.80 |
$540.80 |
$463.00
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$308.75 |
$308.75 |
$308.75 |
$276.00
|
|
X-ray thoracic spine 2 views
|
$341.25 |
$341.25 |
$341.25 |
$286.65
|
|
X-ray thoracic spine 3 views
|
$384.80 |
$384.80 |
$384.80 |
$343.00
|
|
X-ray thoracolumbar spine >=2 views
|
$317.20 |
$317.20 |
$317.20 |
$269.10
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$307.45 |
$307.45 |
$307.45 |
$211.00
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$442.00 |
$442.00 |
$442.00 |
$346.50
|
|
X-ray tibia/fibula 2 views (both sides)
|
$525.85 |
$525.85 |
$525.85 |
$306.47
|
|
X-ray toe(s) > 2 views (both sides)
|
$319.15 |
$319.15 |
$319.15 |
$225.00
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$606.45 |
$606.45 |
$606.45 |
$590.20
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$711.10 |
$711.10 |
$711.10 |
$497.93
|